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1477042067
TRIVIA DAVIS
LAWTON, OK
NPI
1477042067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
TRIVIA DAVIS
713 SW C AVE
LAWTON, OK 73501-4311
Phone number: 580-699-2023
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Mailing Address
TRIVIA DAVIS
4639 NW SANTA FE AVE
LAWTON, OK 73505-3257
Phone number: 580-647-2844
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